Hillcrest Care & Rehabilitation Center
714 Southbend Avenue, Mankato, MN 56001


Hillcrest Care & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245507. The address is 714 Southbend Avenue, Mankato, MN 56001. The zip code is 56001. The phone number is 5073873491.


Hillcrest Care & Rehabilitation Center · 714 Southbend Avenue, Mankato, MN 56001

Federal Provider Number 245507
Provider Name HILLCREST CARE & REHABILITATION CENTER
Address 714 SOUTHBEND AVENUE
MANKATO, MN 56001
Phone Number 5073873491
SSA County Code 60
County Name Blue Earth
Ownership Type For profit - Corporation
Certified Beds 85
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HILLCREST HEALTH CARE LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1988
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.62203
Reported LPN Staffing Hours per Resident per Day 0.54237
Reported RN Staffing Hours per Resident per Day 1.16186
Reported Licensed Staffing Hours per Resident per Day 1.70424
Reported Total Nurse Staffing Hours per Resident per Day 5.32626
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04492
Expected CNA Staffing Hours per Resident per Day 2.39774
Expected LPN Staffing Hours per Resident per Day 0.60406
Expected RN Staffing Hours per Resident per Day 0.99581
Expected Total Nurse Staffing Hours per Resident per Day 3.99761
Adjusted CNA Staffing Hours per Resident per Day 3.70656
Adjusted LPN Staffing Hours per Resident per Day 0.74524
Adjusted RN Staffing Hours per Resident per Day 0.8718
Adjusted Total Nurse Staffing Hours per Resident per Day 5.37062
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 12/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 02/04/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 12/04/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 16
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Hillcrest Care & Rehabilitation Center

Owner Name Role Association Date
AREM, JEFFREY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
HALPERT, MARC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
since 07/01/2015
HALPERT, MARC (Individual) MANAGING EMPLOYEE since 07/01/2015
HML LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/15/2015
JAFFA, NOAM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
LEGUM, JOSHUA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
since 07/01/2015
LEGUM, JOSHUA (Individual) MANAGING EMPLOYEE since 07/01/2015
MONARCH HEALTHCARE MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 05/16/2015
MUENCZ, JEFFREY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
since 07/01/2015
MUENCZ, JEFFREY (Individual) OFFICER since 07/01/2015
NIJ LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/16/2015
SPARTAN HEALTHCARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/15/2015
STERN, WILLIAM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
STERN, WILLIAM (Individual) OFFICER since 07/01/2015
YAZOMA HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/15/2015

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